PURPOSE. This paper aims to illustrate the process of theory-based nursing practice by presenting a case study of a clinical nurse specialist's assessment and care of a woman with type 2 diabetes.
DESIGN. Orem's self-care deficit theory and standardized nursing language, NANDA, NIC (Nursing Interventions Classification), and NOC (Nursing Outcomes Classification), guided assessment and the identification of outcomes and interventions related to the client's management of diabetes.
FINDINGS. Theory-based nursing care and standardized nursing language enhanced the client's ability to self-manage the chronic illness: diabetes.
CONCLUSION. Nursing theory and standardized nursing language enhance communication among nurses and support a client's ability to self-manage a chronic illness.
Get full access to this article
View all access options for this article.
References
1.
American Diabetes Association. (2004). Preventive foot care in people with diabetes position statement. Diabetes Care, 27(1), S63–64.
2.
American Diabetes Association. (2007). National standards for diabetes self-management education. Diabetes Care, 30, S96–103S.
CarpenitoL. (2004). Nursing care plans and documentation nursing diagnoses and collaborative problems(4th ed.). Philadelphia: Lippincott.
5.
ChlebowyD.GarvinB. (2006). Social support, self-efficacy, and outcome expectations. Diabetes Care, 32(5), 777–786.
6.
DavisN.EmereniniA.Wylie-RosettJ. (2006). Obesity management: Physician practice patterns and patient preference. Diabetes Educator, 32(4), 557–561.
7.
Diabetes Control and Complications Trial Research Group. (1993). The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus. New England Journal of Medicine, 329(14), 977–986.
8.
DowN. (2005). Tight insulin control: Making it work. RN, 68(7), 46–52.
9.
FranzM.BantleJ. (Eds.) (2003). American Diabetes Association guide to medical nutrition therapy for diabetes(clinical education series). Canada: Author.
10.
FullerJ.Schaller-AyerJ. (2000). Health assessment: A nursing approach(3rd ed.). Philadelphia: Lippincott.
11.
GordoisA.ScuffhamP.ShearerA.OglesbyA.TobianJ. (2003). The health care costs of diabetic peripheral neuropathy in the U.S. Diabetes Care, 26(8), 2305–2310.
OdegardeP.SetterS.IltzJ. (2006). Update in the pharmacologic treatment of diabetes mellitus: Focus on pramlintide and exenatide. Diabetes Educator, 32(5), 693–712.
21.
OremD. (2001). Nursing concepts of practice(6th ed.). St. Louis, MO: Mosby.
22.
PolitD.HunglerB. (2003). Nursing research principles and methods(7th ed.). Philadelphia: Lippincott.
23.
PorthC. (2006). Pathophysiology concepts of altered health states(6th ed.). Philadelphia: Lippincott.
24.
RutledgeD.DonaldsonN.PravicoffD. (1999). Patient education in disease and symptom management: Diabetes mellitus. Online Journal of Clinical Innovations, 3(2), 1–35.
25.
SandstromS. (2006). Use of case studies to teach diabetes and other chronic illnesses to nursing students. Journal of Nursing Education, 45(6), 229–232.
